Individual provider · Type 1 NPI

Christine Fallstrom, L.I.C.S.W.

Clinical Social Worker · Worcester, MA

NPI number 1780738146 Active

Practice location

37 Fruit St
Worcester, MA 01609-2184

Call (508) 753-7434 Map

Mailing address

78 Rich St
Worcester, MA 01602-1263

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1021965 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1780738146

Christine Fallstrom, L.I.C.S.W.'s National Provider Identifier is 1780738146, issued on Jan 23, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Worcester, MA. The record was last updated on Jul 9, 2007.